Table of Contents

HK J Paediatr (New Series)
Vol 22. No. 4, 2017

HK J Paediatr (New Series) 2017;22:217-220

Original Article

Paediatric Malone Antegrade Continence Enema (MACE): The Hong Kong Experience

PMY Tang, KLY Chung, YCL Leung, JWS Hung, FSD Yam, CSW Liu, NSY Chao, MWY Leung, KKW Liu, YCF Kwok, CWH Ng


Introduction: Faecal incontinence in children is a common and socially embarrassing condition. Surgical intervention maybe required when medical treatment fails. Malone antegrade continence enema (MACE) is a well established way to achieve social continence via regular evacuation of the colon through the appendiceal conduit. Methods: We retrospectively reviewed the clinical records of patients who have undergone the MACE procedure in our center from 2009 to 2016. Results: Eight patients were recruited in the review and all of them were able to achieve a Rintala score of >=15 after the MACE procedure. Conclusions: The MACE procedure is safe and effective in the management of children with faecal incontinence and refractory constipation. Careful patient selection and a team of dedicated specialty nurses are essential for optimal outcome.

引言:兒童大便失禁常導致其無法參加正常的社交活動。內科治療失敗的患兒需外科介入。Malone順行自主灌腸法(MACE)通過闌尾造口有規律的清洗結腸,使患兒可解除大便失禁的尷尬,更好的融入社會。方法:回顧性分析了我們中心2009年─2016年做過MACE手術的患兒。結果:8例患兒獲得隨訪,他們手術後Rintala 評分均大於等於15。結論:MACE手術在治療兒童大便失禁和頑固性便秘方面是安全和有效的。如果想獲得滿意的手術效果,謹慎的選擇患兒和專科護士團隊的護理是必需的。

Keyword : Faecal incontinence; MACE; Rintala



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